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首页> 外文期刊>Reproductive biomedicine online >Attitudes and policies regarding access to fertility care and assisted reproductive technologies in Israel.
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Attitudes and policies regarding access to fertility care and assisted reproductive technologies in Israel.

机译：以色列关于获得生育护理和辅助生殖技术的态度和政策。

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Despite the high profile of fertility care and assisted reproductive technologies, their social and regulatory contexts remain largely unexplored. Yet, studies reveal a practice of candidate screening on a somewhat arbitrary basis. Examining the above issues is of special importance to Israel, given its high fertility rates. To this end, this study conducted a survey of physicians' attitudes regarding access to fertility care and treatment. An anonymous questionnaire was distributed among IVF providers in all fertility clinics in Israel during 2008-2009. A total of 46 physicians (>40%) responded. Although all agree that every person has a right to procreate, 15.25% believe it is important to screen candidates and 55.6% believe they should consider non-medical criteria when providing care. Only 47.8% of physicians acknowledge the existence of guidelines in their units, but where they exist, 22.5% state they do not follow them. Furthermore, between 24.4-63.0% of physicians are willing to perform controversial procedures if backed by official guidelines. In conclusion, existing guidelines are often vague or ignored. Contrary to the USA, IVF providers in Israel are shaped by the pro-natalist approach highly encouraged by the state and they act less as trustees and gatekeepers to the future child.
机译：尽管生育保健和辅助生殖技术备受关注，但它们的社会和法规背景仍未得到充分探索。然而，研究表明，候选人筛选的做法有些随意。鉴于以色列的高生育率，审查上述问题对以色列特别重要。为此，本研究对医生在获得生育护理和治疗方面的态度进行了调查。在2008-2009年期间，以色列所有生育诊所的试管婴儿提供者之间均分发了匿名问卷。共有46位医师（> 40％）做出了回应。尽管所有人都同意每个人都有生育的权利，但15.25％的人认为甄选候选人很重要，而55.6％的人认为他们在提供护理时应考虑非医学标准。只有47.8％的医生承认其所在单位存在指导原则，但在存在指导原则的地方，有22.5％的医生表示他们未遵循指导原则。此外，如果有官方指南的支持，则24.4-63.0％的医生愿意执行有争议的程序。总而言之，现有的准则常常含糊不清或被忽略。与美国相反，以色列的试管婴儿服务提供者受到国家大力鼓励的亲日制主义者的影响，他们较少充当未来孩子的受托人和看门人。

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